Form MO-TC - 2019 Miscellaneous Income Tax CreditsUse this form to claim income tax credits on Form...
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For Privacy Notice, see instructions. Missouri Tax I.D. Number Federal Employer I.D. Number Form MO-TC (Revised 03-2020) Social Security Number Name (Last, First) Spouse’s Social Security Number Spouse’s Name (Last, First) Use Column 1 if you are filing: • An individual income tax return with a single type filing status; • A fiduciary return; or, • A corporation income tax return. I declare under penalties of perjury that I employ no illegal or unauthorized aliens as defined under federal law and that I am not eligible for any tax exemption, credit or abatement if I employ such aliens. I also declare that if I am a business entity, I participate in a federal work authorization program with respect to the employees working in connection with any contracted services and I do not knowingly employ any person who is an unauthorized alien in connection with any contracted services. Instructions *19306010001* 19306010001 Charter Number Corporation Name Department Use Only (MM/DD/YY) 1. 1. 00 00 2. 2. 00 00 3. 3. 00 00 4. 4. 00 00 5. 5. 00 00 6. 6. 00 00 7. 7. 00 00 8. 8. 00 00 9. 9. 00 00 10. 10. 00 00 11. Subtotals - add Lines 1 through 10. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11. 00 00 12. Enter the amount of the tax liability from Form MO-1040, Line 31Y for yourself and Line 31S for your spouse, or Form MO-1120, Line 17 or Form MO-1041, Line 15. ........................................... 12. 00 00 13. Total Credits - add amounts from Line 11, Columns 1 and 2. (Enter here and on Form MO-1120, Line 18; Form MO-1040, Line 38; or Form MO-1041, Line 16.) Line 13 cannot exceed the amount on Line 12, unless the credit is refundable. ........ 13. 00 • Yourself • Corporation Income • Fiduciary • Spouse (on a combined return) Column 1 Column 2 Alpha Code (3 characters) from back Benefit Number (See example above) Credit Name Each credit will apply against your tax liability in the order they appear below. If you are a shareholder or partner claiming a credit, attach a copy of the shareholder listing or Federal Schedule K-1, specifying your percentage and the corporation’s percentage of ownership. If you are filing a combined return and both you and your spouse have income: • Use Column 1 for yourself and Column 2 for spouse. • Both names must be on the credit certificate. Use this form to claim income tax credits on Form MO-1040, MO-1120, or MO-1041. Attach to Form MO-1040, MO-1120, or MO-1041. 2019 Miscellaneous Income Tax Credits Form MO-TC • Benefit Number - The number is the last six (6) digits of the number located on your Certificate of Eligibility. Example: For benefit, ABC-2018-12345-123456, enter 123456, on Form MO-TC. • Alpha code - The three (3) character code located on the back of this form. Each credit is assigned an alpha code to ensure proper processing of the credit claimed. • If you are claiming more than 10 credits, attach additional MO-TC(s) • The sum of the tax credits claimed in Column 1 or Column 2 cannot exceed the applicable tax liability, unless the credit is refundable.
Transcript of Form MO-TC - 2019 Miscellaneous Income Tax CreditsUse this form to claim income tax credits on Form...
For Privacy Notice, see instructions.
Missouri Tax
I.D. Number
Federal Employer
I.D. Number
Form MO-TC (Revised 03-2020)
Social Security
Number
Name
(Last, First)
Spouse’s Social
Security Number
Spouse’s Name
(Last, First)
Use Column 1 if you are filing: • An individual income tax return with a single type filing status; • A fiduciary return; or,• A corporation income tax return.
I declare under penalties of perjury that I employ no illegal or unauthorized aliens as defined under federal law and that I am not eligible for any tax exemption, credit or abatement if I employ such aliens. I also declare that if I am a business entity, I participate in a federal work authorization program with respect to the employees working in connection with any contracted services and I do not knowingly employ any person who is an unauthorized alien in connection with any contracted services.
Inst
ruct
ions
*19306010001*19306010001
Charter
Number
Corporation
Name
Department Use Only(MM/DD/YY)
1. 1. 00 00
2. 2. 00 00
3. 3. 00 00
4. 4. 00 00
5. 5. 00 00
6. 6. 00 00
7. 7. 00 00
8. 8. 00 00
9. 9. 00 00
10. 10. 00 00
11. Subtotals - add Lines 1 through 10. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11. 00 00
12. Enter the amount of the tax liability from Form MO-1040, Line 31Y for yourself and Line 31S for your spouse, or Form MO-1120, Line 17 or Form MO-1041, Line 15. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12. 00 00 13. Total Credits - add amounts from Line 11, Columns 1 and 2. (Enter here and on Form MO-1120, Line 18; Form MO-1040, Line 38; or Form MO-1041, Line 16.) Line 13 cannot exceed the amount on Line 12, unless the credit is refundable. . . . . . . . . 13. 00
• Yourself• Corporation Income• Fiduciary
• Spouse (on a combined return)
Column 1 Column 2
Alpha Code (3 characters)
from back
Benefit Number(See example above)
Credit NameEach credit will apply against your tax liability in the order they appear below.
If you are a shareholder or partner claiming a credit, attach a copy of the shareholder listing or Federal Schedule K-1, specifying your percentage and the corporation’s percentage of ownership.
If you are filing a combined return and both you and your spouse have income: • Use Column 1 for yourself and Column 2 for spouse. • Both names must be on the credit certificate.
Use this form to claim income tax credits on Form MO-1040, MO-1120, or MO-1041. Attach to Form MO-1040, MO-1120, or MO-1041.
2019 Miscellaneous Income Tax CreditsForm
MO-TC
• Benefit Number - The number is the last six (6) digits of the number located on your Certificate of Eligibility.
Example: For benefit, ABC-2018-12345-123456, enter 123456, on Form MO-TC.• Alpha code - The three (3) character code located on the back of
this form. Each credit is assigned an alpha code to ensure proper processing of the credit claimed.
• If you are claiming more than 10 credits, attach additional MO-TC(s)• The sum of the tax credits claimed in Column 1 or Column 2 cannot exceed the applicable tax liability, unless the credit is refundable.
* Must be approved by the issuing agency Individuals with speech or hearing impairments may call TTY (800) 735-2966 or fax (573) 526-1881.
Miscellaneous tax credits are administered by various agencies. For more information, forms, and approval to claim these credits, contact the following Departments. Visit http://dor.mo.gov/taxcredit/ for a description of each credit and more contact information for agencies administering each credit.
Missouri Department of Economic Development Missouri Department of Revenue (Continued)
Form MO-TC (Revised 03-2020)
*19000000001*19000000001
Missouri Department of Revenue
P.O. Box 118, Jefferson City, MO 65102-0118 http://www.ded.mo.gov
Alpha Attach to Code Name of Credit and Phone Number Form MO-TC BFC New or Expanded Business Facility - (573) 526-5417 Schedule 150, Fed. K-1, Form 4354 BJI Brownfield “Jobs and Investment” - (573) 522-8004 Certificate* DAL Distressed Area Land Assemblage - (573) 522-8006 Certificate* DFH Dry Fire Hydrant - (573) 751-9048 Certificate* DPC Development Tax Credit - (573) 526-3285 Certificate* EZC Enterprise Zone - (573) 522-2790 Schedule 250, Fed. K-1, Form 4354 FDA Family Development Account - (573) 751-4539 Certificate* FPC Film Production - (573) 751-9048 Certificate* HPC Historic Preservation - (573) 522-8004 Certificate* ISB Small Business Investment (Capital) - (573) 526-5417 Certificate* ICT Innovation Campus Tax Credit - (573) 751-4539 Certificate* MQJ Missouri Quality Jobs - (573) 751-4539 Certificate* MWC Missouri Works Credit - (573) 522-9062 Certificate* NAC Neighborhood Assistance - (573) 522-2629 Certificate* NEC New Enterprise Creation - (573) 522-2790 Certificate* NEZ New Enhanced Enterprise Zone - (573) 751-4539 Certificate* NMC New Market Tax Credit - (573) 522-8004 Certificate* RCC Rebuilding Communities - (573) 526-3285 Certificate* RCN Rebuilding Communities and Neighborhood Preservation Act - (573) 522-8004 Certificate* REC Qualified Research Expense - (573) 526-0124 Certificate* RTC Remediation - (573) 522-8004 Certificate* SBG Small Business Guaranty Fees - (573) 751-9048 Certificate* SBI Small Business Incubator - (573) 751-4539 Certificate* SEC Sporting Event Credit - (573) 522-8004 Certificate* SPC Sporting Contribution Credit - (573) 522-8004 Certificate* TDC Transportation Development - (573) 751-4539 Certificate* WEC Processed Wood Energy - (573) 526-1723 Certificate* WGC Wine and Grape Production - (573) 751-9048 Certificate* YOC Youth Opportunities - (573) 751-4539 Certificate*
Missouri Development Finance BoardP.O. Box 567, Jefferson City, MO 65102-0567
http://www.mdfb.org • (573) 751-8479 Alpha Attach to Code Name of Credit Form MO-TC BEC Bond Enhancement Certificate* BUC Missouri Business Use Incentives for Large Certificate* Scale Development (BUILD) DRC Development Reserve Contribution Credit Certificate* EFC Export Finance Certificate* IDC Infrastructure Development Certificate*
Missouri Housing Development Commission3435 Broadway, Kansas City, MO 64111
http://www.mhdc.com Alpha Attach to Code Name of Credit and Phone Number Form MO-TC AHC Affordable Housing Assistance - (816) 759-6878 Certificate* LHC Missouri Low Income Housing - (816) 759-6878 Eligibility Statement,
Fed. K-1, 8609A, 8609 (first year)
P.O. Box 2200, Jefferson City, MO 65105-2200http://dor.mo.gov/ • (573) 751-3220 or (573) 751-4541
Alpha Attach to Code Name of Credit Form MO-TC ATC Special Needs Adoption Form ATC, and Federal Form 8839 BFT Bank Franchise Tax Form INT-2, INT-2-1
BTC Bank Tax Credit for S Corporation Form BTC, and Form Shareholders INT-3, 2823, INT-2, Fed. K-1 CIC Children in Crisis Contribution Verification from Issuing Agency CFC Champion for Children Contribution Verification from Issuing Agency DAC Disabled Access Federal Form 8826
and Form MO-8826 DAT Residential Dwelling Accessibility Form MO-DAT FPT Food Pantry Tax Form MO-FPT SHC Self-Employed Health Insurance Form MO-SHC SSC Public Safety Officer Surviving Spouse Form MO-SSC
Missouri Agricultural and SmallBusiness Development Authority
P.O. Box 630, Jefferson City, MO 65102-0630http://www.agriculture.mo.gov • (573) 751-2129
Alpha Attach to Code Name of Credit Form MO-TC APU Agricultural Product Utilization Contributor Certificate* FFC Family Farms Act Certificate* MPF Meat Processing Facility Investment Tax Credit Certificate* NGC New Generation Cooperative Incentive Certificate* QBC Qualified Beef Certificate*
Missouri Department of Natural ResourcesJefferson City, MO 65105http://www.dnr.mo.gov
Alpha Attach to Code Name of Credit and Phone Number Form MO-TC CPC Charcoal Producers - (573) 751-4817 Certificate*
Missouri Department of Social ServicesJefferson City, MO 65109
http://www.dss.mo.gov/dfas/taxcredit/index.htm • (573) 751-7533 Alpha Attach to Code Name of Credit Form MO-TC DBC Diaper Bank Certificate* DDC Developmental Disability Care Provider Certificate* DVC Shelter for Victims of Domestic Violence Certificate* MHC Maternity Home Certificate* PRC Pregnancy Resource Certificate* RTA Residential Treatment Agency Certificate* SCH School Children Health and Hunger Certificate*
Missouri Department of HealthDivision of Senior Services
P.O. Box 570, Jefferson City, MO 65102-0570http://www.dhss.mo.gov
Alpha Attach to Code Name of Credit and Phone Number Form MO-TC SCT Shared Care - (573) 751-4842 Must Register Each
Year With Division of Senior and Disability Services - Attach Form MO-SCC
